| Michigan Mind | |
|
205 Page Ave Suite B Jackson MI 49201-2462 | |
| (517) 795-1416 | |
| (517) 787-4280 |
| Full Name | Michigan Mind |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 205 Page Ave, Jackson, Michigan |
| Authorized Official Name and Position | Umesh Verma (OWNER/MEDICAL PHYSICIAN) |
| Authorized Official Contact | 5179905331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Mind 5091 Oak Tree Ct Ann Arbor MI 48108-8573 Ph: (517) 795-1416 | Michigan Mind 205 Page Ave Suite B Jackson MI 49201-2462 Ph: (517) 795-1416 |
| NPI Number | 1356668610 |
|---|---|
| Provider Enumeration Date | 04/27/2010 |
| Last Update Date | 07/23/2010 |
| Medicare PECOS PAC ID | 1456475656 |
|---|---|
| Medicare Enrollment ID | O20100825000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356668610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301072378 (Michigan) | Primary |
| Provider Name | Umesh Verma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891751806 PECOS PAC ID: 6709783350 Enrollment ID: I20031212000830 |
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